JP6651471B2 - 流体ジェット組織アブレーションおよび冷凝固(aquablation)方法および装置 - Google Patents
流体ジェット組織アブレーションおよび冷凝固(aquablation)方法および装置 Download PDFInfo
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- JP6651471B2 JP6651471B2 JP2016575905A JP2016575905A JP6651471B2 JP 6651471 B2 JP6651471 B2 JP 6651471B2 JP 2016575905 A JP2016575905 A JP 2016575905A JP 2016575905 A JP2016575905 A JP 2016575905A JP 6651471 B2 JP6651471 B2 JP 6651471B2
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3203—Fluid jet cutting instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00137—Details of operation mode
- A61B2017/00154—Details of operation mode pulsed
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
- A61B2017/00137—Details of operation mode
- A61B2017/00154—Details of operation mode pulsed
- A61B2017/00172—Pulse trains, bursts, intermittent continuous operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00274—Prostate operation, e.g. prostatectomy, turp, bhp treatment
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3203—Fluid jet cutting instruments
- A61B2017/32032—Fluid jet cutting instruments using cavitation of the fluid
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3203—Fluid jet cutting instruments
- A61B2017/32035—Fluid jet cutting instruments with gas or air
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00547—Prostate
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Applications Claiming Priority (5)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US201462019299P | 2014-06-30 | 2014-06-30 | |
US62/019,299 | 2014-06-30 | ||
US201462032958P | 2014-08-04 | 2014-08-04 | |
US62/032,958 | 2014-08-04 | ||
PCT/US2015/038605 WO2016004071A1 (en) | 2014-06-30 | 2015-06-30 | Fluid jet tissue resection and cold coagulation (aquablation) methods and apparatus |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2019224376A Division JP2020037017A (ja) | 2014-06-30 | 2019-12-12 | 流体ジェット組織アブレーションおよび冷凝固(aquablation)方法および装置 |
Publications (3)
Publication Number | Publication Date |
---|---|
JP2017520325A JP2017520325A (ja) | 2017-07-27 |
JP2017520325A5 JP2017520325A5 (zh) | 2018-08-09 |
JP6651471B2 true JP6651471B2 (ja) | 2020-02-19 |
Family
ID=55019927
Family Applications (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2016575905A Active JP6651471B2 (ja) | 2014-06-30 | 2015-06-30 | 流体ジェット組織アブレーションおよび冷凝固(aquablation)方法および装置 |
JP2019224376A Withdrawn JP2020037017A (ja) | 2014-06-30 | 2019-12-12 | 流体ジェット組織アブレーションおよび冷凝固(aquablation)方法および装置 |
Family Applications After (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
JP2019224376A Withdrawn JP2020037017A (ja) | 2014-06-30 | 2019-12-12 | 流体ジェット組織アブレーションおよび冷凝固(aquablation)方法および装置 |
Country Status (6)
Country | Link |
---|---|
US (3) | US10448966B2 (zh) |
EP (2) | EP4070744A1 (zh) |
JP (2) | JP6651471B2 (zh) |
CN (1) | CN106572864B (zh) |
BR (1) | BR112016031037B1 (zh) |
WO (1) | WO2016004071A1 (zh) |
Families Citing this family (20)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US8814921B2 (en) | 2008-03-06 | 2014-08-26 | Aquabeam Llc | Tissue ablation and cautery with optical energy carried in fluid stream |
US9232959B2 (en) | 2007-01-02 | 2016-01-12 | Aquabeam, Llc | Multi fluid tissue resection methods and devices |
WO2016037137A1 (en) | 2014-09-05 | 2016-03-10 | Procept Biorobotics Corporation | Physician controlled tissue resection integrated with treatment mapping of target organ images |
US10588609B2 (en) | 2010-02-04 | 2020-03-17 | Procept Biorobotics Corporation | Gene analysis and generation of stem cell methods and apparatus |
JP6080872B2 (ja) | 2012-02-29 | 2017-02-15 | プロセプト バイオロボティクス コーポレイション | 自動化された画像誘導組織切除および治療 |
CN109965976B (zh) | 2013-09-06 | 2022-05-31 | 普罗赛普特生物机器人公司 | 利用致脱脉冲的用于消融组织的装置 |
EP4070744A1 (en) | 2014-06-30 | 2022-10-12 | PROCEPT BioRobotics Corporation | Fluid jet tissue resection and cold coagulation (aquablation) apparatus |
BR112017004454B1 (pt) | 2014-09-05 | 2022-11-01 | Procept Biorobotics Corporation | Aparelho para remover células intactas de uma área cirúrgica de um paciente |
CN109152650B (zh) | 2016-03-18 | 2021-10-26 | 普罗赛普特生物机器人公司 | 用于在出血的闭合组织体积中止血的微创方法和系统 |
CN107822696A (zh) * | 2017-10-12 | 2018-03-23 | 徐州市妇幼保健院 | 一种医用腔镜水刀喷枪及其使用方法 |
EP4098217A1 (en) * | 2018-02-05 | 2022-12-07 | Fotona d.o.o. | Micro-pulsed liquid spray for cooling |
CN112261910B (zh) * | 2018-06-20 | 2023-10-31 | 泰尔茂株式会社 | 促进止血的方法及止血辅助件 |
WO2019246580A1 (en) | 2018-06-21 | 2019-12-26 | Procept Biorobotics Corporation | Artificial intelligence for robotic surgery |
CN109589157A (zh) * | 2018-12-06 | 2019-04-09 | 黄煜 | 基于浸没状态高压空化射流的关节内痛风结晶沉淀清除装置 |
EP3934508A4 (en) | 2019-03-07 | 2022-11-30 | PROCEPT BioRobotics Corporation | RIGID SHEET FOR AN EDUCATION PROBE |
CN110664480A (zh) * | 2019-09-30 | 2020-01-10 | 严立 | 一种喷气剥离电切头及喷气剥离电切装置 |
US11071601B2 (en) | 2019-11-11 | 2021-07-27 | Procept Biorobotics Corporation | Surgical probes for tissue resection with robotic arms |
FR3104019B1 (fr) * | 2019-12-05 | 2023-10-06 | Ab Medica | Instrument pour souffler un gaz dans un organe vivant pour favoriser une dissection médicale de cet organe. |
US11096753B1 (en) | 2020-06-26 | 2021-08-24 | Procept Biorobotics Corporation | Systems and methods for defining and modifying range of motion of probe used in patient treatment |
US11877818B2 (en) | 2020-06-26 | 2024-01-23 | Procept Biorobotics Corporation | Integration of robotic arms with surgical probes |
Family Cites Families (161)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US3847988A (en) | 1971-12-23 | 1974-11-12 | Schering Corp | Substituted imidates |
US3818913A (en) | 1972-08-30 | 1974-06-25 | M Wallach | Surgical apparatus for removal of tissue |
US3875229A (en) | 1972-11-24 | 1975-04-01 | Schering Corp | Substituted carboxanilides |
US3821510A (en) | 1973-02-22 | 1974-06-28 | H Muncheryan | Hand held laser instrumentation device |
US3930505A (en) | 1974-06-24 | 1976-01-06 | Hydro Pulse Corporation | Surgical apparatus for removal of tissue |
FR2329276A1 (fr) | 1975-10-29 | 1977-05-27 | Roussel Uclaf | Nouvelles imidazolidines substituees, procede de preparation, application comme medicament et compositions les renfermant |
EP0002309B1 (en) | 1977-10-12 | 1982-12-01 | Imperial Chemical Industries Plc | Acylanilides, process for their manufacture and pharmaceutical and veterinary compositions containing them |
US4377584A (en) | 1978-04-13 | 1983-03-22 | Merck & Co., Inc. | 4-Aza-17β-substituted-5α-androstan-3-one-reductase inhibitors |
US4220735A (en) | 1978-12-18 | 1980-09-02 | General Electric Company | Modified polyester compositions |
NZ197008A (en) | 1980-05-22 | 1984-10-19 | Ici Ltd | Acylanilide derivatives and pharmaceutical compositions |
US4474251A (en) * | 1980-12-12 | 1984-10-02 | Hydronautics, Incorporated | Enhancing liquid jet erosion |
JPS57168656A (en) | 1981-04-10 | 1982-10-18 | Medos Kenkyusho Kk | Endoscope laser coagulator |
DE3372965D1 (en) | 1982-07-23 | 1987-09-17 | Ici Plc | Amide derivatives |
JPS59225049A (ja) | 1983-06-06 | 1984-12-18 | 株式会社 スギノマシン | 手術用ノズル装置 |
US4760071A (en) | 1984-02-27 | 1988-07-26 | Merck & Co., Inc. | 17β-N-monosubstituted carbamoyl-4-aza-5α-androst-1-en-3-ones which are active as testosterone 5α-reductase inhibitors |
US4672963A (en) | 1985-06-07 | 1987-06-16 | Israel Barken | Apparatus and method for computer controlled laser surgery |
AT385894B (de) | 1985-10-04 | 1988-05-25 | Basem Dr Nashef | Schlauchfoermige sonde |
US5135482A (en) * | 1985-12-31 | 1992-08-04 | Arnold Neracher | Hydrodynamic device for the elimination of an organic deposit obstructing a vessel of a human body |
JPH01198539A (ja) | 1987-10-26 | 1989-08-10 | Marui Ika:Kk | 脳外科用ウオータージェットメス装置 |
US6066130A (en) | 1988-10-24 | 2000-05-23 | The General Hospital Corporation | Delivering laser energy |
US5116615A (en) | 1989-01-27 | 1992-05-26 | Immunolytics, Inc. | Method for treating benign prostatic hypertrophy |
AU5534090A (en) | 1989-05-03 | 1990-11-29 | Intra-Sonix, Inc. | Instrument and method for intraluminally relieving stenosis |
DK0943328T3 (da) | 1989-07-07 | 2004-10-18 | Endorech Inc | Kombinationsterapi til profylakse og/eller behandling af godartet prostatahyperplasi |
US5037431A (en) | 1989-11-03 | 1991-08-06 | The Curators Of The University Of Missouri | Surgical liquid lance apparatus |
US5269785A (en) | 1990-06-28 | 1993-12-14 | Bonutti Peter M | Apparatus and method for tissue removal |
US6007513A (en) | 1990-07-17 | 1999-12-28 | Aziz Yehia Anis | Removal of tissue |
US5496267A (en) | 1990-11-08 | 1996-03-05 | Possis Medical, Inc. | Asymmetric water jet atherectomy |
US5257991A (en) | 1990-11-15 | 1993-11-02 | Laserscope | Instrumentation for directing light at an angle |
NZ241979A (en) | 1991-03-20 | 1996-01-26 | Merck & Co Inc | Treatment of benign prostatic hyperplasia using 5alpha-reductase inhibitor and an alpha1-adrenergic recepter blocker |
US5562703A (en) | 1994-06-14 | 1996-10-08 | Desai; Ashvin H. | Endoscopic surgical instrument |
US6231591B1 (en) | 1991-10-18 | 2001-05-15 | 2000 Injectx, Inc. | Method of localized fluid therapy |
US5861002A (en) | 1991-10-18 | 1999-01-19 | Desai; Ashvin H. | Endoscopic surgical instrument |
US5322503A (en) | 1991-10-18 | 1994-06-21 | Desai Ashvin H | Endoscopic surgical instrument |
US5267341A (en) | 1991-10-30 | 1993-11-30 | Baxter International Inc. | Fluid catheter with aqueous fluid core and method of use |
DE9200452U1 (de) * | 1992-01-16 | 1992-06-04 | Rau, Horst-Günter, Dr.med., 8000 München | Hochfrequenzstromunterstütztes Hochdruckflüssigkeitsstrahlschneidegerät |
US5994362A (en) | 1992-03-11 | 1999-11-30 | Merck & Co., Inc. | Method of treatment for prostatic cancer |
US5322504A (en) * | 1992-05-07 | 1994-06-21 | United States Surgical Corporation | Method and apparatus for tissue excision and removal by fluid jet |
US5620414A (en) | 1992-06-30 | 1997-04-15 | Campbell, Jr.; Robert M. | Apparatus and method for effecting surgical incision through use of a fluid jet |
US5630794A (en) | 1992-08-12 | 1997-05-20 | Vidamed, Inc. | Catheter tip and method of manufacturing |
US5672153A (en) | 1992-08-12 | 1997-09-30 | Vidamed, Inc. | Medical probe device and method |
US5358473A (en) | 1993-04-30 | 1994-10-25 | Mitchell Paul G | Apparatus and method for the removal of adherent viscoelastic material |
US5631236A (en) | 1993-08-26 | 1997-05-20 | Baylor College Of Medicine | Gene therapy for solid tumors, using a DNA sequence encoding HSV-Tk or VZV-Tk |
JPH07171162A (ja) | 1993-09-07 | 1995-07-11 | Olympus Optical Co Ltd | レーザプローブ |
US5514669A (en) | 1993-09-29 | 1996-05-07 | Medical College Of Ohio | Use of photodynamic therapy to treat prostatic tissue |
AU8076394A (en) * | 1993-10-12 | 1995-07-10 | New Jersey Institute Of Technology | Method and device for corneal shaping and refractive correction |
CA2189004A1 (en) | 1994-04-29 | 1995-11-09 | Charles D. Lennox | Resecting coagulated tissue |
DE4418845C5 (de) | 1994-05-30 | 2012-01-05 | Synova S.A. | Verfahren und Vorrichtung zur Materialbearbeitung mit Hilfe eines Laserstrahls |
US5672171A (en) | 1994-06-30 | 1997-09-30 | American Medical Systems, Inc. | Apparatus and method for interstitial laser treatment |
US5454782A (en) | 1994-08-11 | 1995-10-03 | Perkins; Rodney C. | Translumenal circumferential energy delivery device |
US5527330A (en) | 1994-08-18 | 1996-06-18 | United States Surgical Corporation | Fluid cutting instrument |
US5833701A (en) | 1994-09-12 | 1998-11-10 | Medjet, Inc. | Procedure and device for corrective and therapeutic eye treatment |
US5582190A (en) | 1994-10-25 | 1996-12-10 | Andrew B. Slavin | Arthroscopic surgical device and method for evaluating and relieving the symptoms of temporomandibular joint disorders |
US5772657A (en) | 1995-04-24 | 1998-06-30 | Coherent, Inc. | Side firing fiber optic laser probe |
US6216573B1 (en) | 1995-06-07 | 2001-04-17 | Hydrocision, Inc. | Fluid jet cutting system |
US5871462A (en) * | 1995-06-07 | 1999-02-16 | Hydrocision, Inc. | Method for using a fluid jet cutting system |
US5785521A (en) | 1995-08-31 | 1998-07-28 | Biolase Technology, Inc. | Fluid conditioning system |
US6254597B1 (en) | 1995-08-31 | 2001-07-03 | Biolase Technology, Inc. | Tissue remover and method |
US6071284A (en) | 1995-10-30 | 2000-06-06 | Biomedical Enterprises, Inc. | Materials collection system and uses thereof |
US5872150A (en) | 1996-03-01 | 1999-02-16 | Merck & Co., Inc. | Treatment of prostate disease with a nonsteroidal anti-androgenic compound |
GB9607729D0 (en) | 1996-04-13 | 1996-06-19 | Zeneca Ltd | Quinazoline derivatives |
US5773791A (en) | 1996-09-03 | 1998-06-30 | Kuykendal; Robert | Water laser machine tool |
WO1998019614A1 (en) | 1996-11-08 | 1998-05-14 | Fogarty Thomas J | Transvascular tmr device and method |
DE19712718C2 (de) | 1997-03-26 | 1999-09-23 | Asta Medica Ag | Immobilisierte und aktivitätsstabilisierte Komplexe von LHRH-Antagonisten und Verfahren zu deren Herstellung |
US6117128A (en) | 1997-04-30 | 2000-09-12 | Kenton W. Gregory | Energy delivery catheter and method for the use thereof |
US6228046B1 (en) | 1997-06-02 | 2001-05-08 | Pharmasonics, Inc. | Catheters comprising a plurality of oscillators and methods for their use |
AU8673898A (en) | 1997-08-07 | 1999-03-01 | Pharos Optics, Inc. | Dental laser and method of using same |
US6720745B2 (en) | 1997-08-26 | 2004-04-13 | Color Kinetics, Incorporated | Data delivery track |
US6378525B1 (en) | 1998-01-29 | 2002-04-30 | American Medical Systems, Inc. | Combined cryotherapy and hyperthermia method for the treatment of airway obstruction or prostrate enlargement |
US6440127B2 (en) | 1998-02-11 | 2002-08-27 | Cosman Company, Inc. | Method for performing intraurethral radio-frequency urethral enlargement |
US6142991A (en) | 1998-03-31 | 2000-11-07 | Galil Medical, Ltd. | High resolution cryosurgical method and apparatus |
US20020010502A1 (en) | 1998-04-01 | 2002-01-24 | Trachtenberg John R. | Thermotherapy method |
US6296639B1 (en) | 1999-02-12 | 2001-10-02 | Novacept | Apparatuses and methods for interstitial tissue removal |
DE19859133C1 (de) | 1998-12-21 | 2000-05-18 | Ferton Holding Sa | Ejektionsgerät zur Hochdruckejektion einer Flüssigkeit |
US6425877B1 (en) | 1999-04-02 | 2002-07-30 | Novasys Medical, Inc. | Treatment of tissue in the digestive circulatory respiratory urinary and reproductive systems |
US6179831B1 (en) | 1999-04-29 | 2001-01-30 | Galil Medical Ltd. | Method of cryoablating benign prostate hyperplasia |
US6375635B1 (en) * | 1999-05-18 | 2002-04-23 | Hydrocision, Inc. | Fluid jet surgical instruments |
JP2003500098A (ja) * | 1999-05-21 | 2003-01-07 | ザ ボード オブ トラスティーズ オブ レランド スタンフォード ジュニア ユニバーシティ | マイクロ流体装置及び液体環境におけるパルスマイクロ液体ジェットの発生方法 |
US6890332B2 (en) | 1999-05-24 | 2005-05-10 | Csaba Truckai | Electrical discharge devices and techniques for medical procedures |
JP4216414B2 (ja) | 1999-08-13 | 2009-01-28 | テルモ株式会社 | 加熱治療装置 |
DE60027365T2 (de) | 1999-08-13 | 2007-01-11 | Terumo K.K. | Thermotherapiegerät |
AT410055B (de) | 1999-08-31 | 2003-01-27 | Austrian Laser Produktion Und | Laserskalpell |
US6200573B1 (en) | 1999-12-03 | 2001-03-13 | Starcor Pharmaceuticals, Inc. | Method of medical management for lower urinary tract symptoms and benign prostatic hyperplasia |
US6451017B1 (en) | 2000-01-10 | 2002-09-17 | Hydrocision, Inc. | Surgical instruments with integrated electrocautery |
US6953461B2 (en) | 2002-05-16 | 2005-10-11 | Tissuelink Medical, Inc. | Fluid-assisted medical devices, systems and methods |
EP1269535B1 (de) | 2000-04-04 | 2007-10-10 | Synova S.A. | Verfahren zum schneiden eines gegenstands und zur weiterverarbeitung des schnittguts sowie träger zum halten des gegenstands bzw. des schnittguts |
US6630164B2 (en) | 2000-05-09 | 2003-10-07 | Kenneth Weisman | Dutasteride to prevent and treat atherosclerosis |
JP4458630B2 (ja) | 2000-07-03 | 2010-04-28 | オリンパス株式会社 | 加熱治療装置 |
WO2002009571A2 (en) | 2000-07-31 | 2002-02-07 | Galil Medical Ltd. | Planning and facilitation systems and methods for cryosurgery |
US6413256B1 (en) | 2000-08-01 | 2002-07-02 | Csaba Truckai | Voltage threshold ablation method and apparatus |
US6572578B1 (en) | 2000-08-25 | 2003-06-03 | Patrick A. Blanchard | Fluid-jet catheter and its application to flexible endoscopy |
JP4050612B2 (ja) | 2000-11-13 | 2008-02-20 | アトッサ ヘルスケア,インコーポレイティド | 患者の乳房器官から生体サンプルを採集するためのサンプル採集装置 |
US6986764B2 (en) | 2000-12-15 | 2006-01-17 | Laserscope | Method and system for photoselective vaporization of the prostate, and other tissue |
US6743226B2 (en) | 2001-02-09 | 2004-06-01 | Cosman Company, Inc. | Adjustable trans-urethral radio-frequency ablation |
US7008421B2 (en) | 2002-08-21 | 2006-03-07 | Resect Medical, Inc. | Apparatus and method for tissue resection |
DE10119328A1 (de) * | 2001-04-19 | 2002-11-21 | Univ Hannover | Trennvorrichtung für Knochengewebe |
WO2003005889A2 (en) | 2001-07-10 | 2003-01-23 | Ams Research Corporation | Surgical kit for treating prostate tissue |
US6827718B2 (en) | 2001-08-14 | 2004-12-07 | Scimed Life Systems, Inc. | Method of and apparatus for positioning and maintaining the position of endoscopic instruments |
US7326054B2 (en) | 2001-08-23 | 2008-02-05 | Brigham Young University | Method and apparatus for drilling teeth with a pressurized water stream |
US7166103B2 (en) | 2001-10-01 | 2007-01-23 | Electrosurgery Associates, Llc | High efficiency electrosurgical ablator with electrode subjected to oscillatory or other repetitive motion |
EP1434530A2 (en) | 2001-10-12 | 2004-07-07 | AMS Research Corporation | Surgical instrument and method |
US6960307B2 (en) | 2002-01-18 | 2005-11-01 | Leclair Mark L | Method and apparatus for the controlled formation of cavitation bubbles |
US6824516B2 (en) | 2002-03-11 | 2004-11-30 | Medsci Technologies, Inc. | System for examining, mapping, diagnosing, and treating diseases of the prostate |
US8244327B2 (en) | 2002-04-22 | 2012-08-14 | The Johns Hopkins University | Apparatus for insertion of a medical device during a medical imaging process |
US6814731B2 (en) | 2002-05-20 | 2004-11-09 | Scimed Life Systems, Inc. | Methods for RF ablation using jet injection of conductive fluid |
US7998107B2 (en) | 2002-09-24 | 2011-08-16 | Kensey Nash Corporation | Interventional procedure drive and control system |
US7115100B2 (en) | 2002-11-15 | 2006-10-03 | Ethicon, Inc. | Tissue biopsy and processing device |
US6847848B2 (en) | 2003-01-07 | 2005-01-25 | Mmtc, Inc | Inflatable balloon catheter structural designs and methods for treating diseased tissue of a patient |
US7101362B2 (en) | 2003-07-02 | 2006-09-05 | St. Jude Medical, Atrial Fibrillation Division, Inc. | Steerable and shapable catheter employing fluid force |
WO2005070034A2 (en) | 2004-01-22 | 2005-08-04 | Biolase Technology, Inc. | Electromagnetically induced treatment devices and methods |
US20060089626A1 (en) | 2004-10-22 | 2006-04-27 | Vlegele James W | Surgical device guide for use with an imaging system |
WO2006066160A1 (en) * | 2004-12-14 | 2006-06-22 | Hydrocision, Inc. | Liquid jet surgical instrument |
US20060149193A1 (en) | 2005-01-05 | 2006-07-06 | Biomec, Inc. | High pressure liquid jet ablation of tissue and apparatus |
EP1858418B1 (en) | 2005-02-28 | 2017-08-16 | Robarts Research Institute | System for performing a biopsy of a target volume and a computing device for planning the same |
JP4671282B2 (ja) | 2005-07-15 | 2011-04-13 | 株式会社日立メディコ | 超音波装置 |
US20070239153A1 (en) | 2006-02-22 | 2007-10-11 | Hodorek Robert A | Computer assisted surgery system using alternative energy technology |
US8548562B2 (en) | 2006-04-04 | 2013-10-01 | John Trachtenberg | System and method of guided treatment within malignant prostate tissue |
KR20090031674A (ko) * | 2006-04-25 | 2009-03-27 | 하이드로시젼, 인크 | 전기 주조된 액체 제트 수술 기구 |
US9232959B2 (en) | 2007-01-02 | 2016-01-12 | Aquabeam, Llc | Multi fluid tissue resection methods and devices |
US8814921B2 (en) | 2008-03-06 | 2014-08-26 | Aquabeam Llc | Tissue ablation and cautery with optical energy carried in fluid stream |
EP2810613B1 (en) | 2007-01-02 | 2019-03-20 | AquaBeam LLC | Minimally invasive devices for the treatment of prostate diseases |
US7735349B2 (en) | 2007-01-31 | 2010-06-15 | Biosense Websters, Inc. | Correlation of ultrasound images and gated position measurements |
US8092507B2 (en) | 2007-02-05 | 2012-01-10 | Novian Health, Inc. | Interstitial energy treatment probe holders |
US8795194B2 (en) | 2007-03-30 | 2014-08-05 | Smith & Nephew, Inc. | Tissue harvesting |
US20080253526A1 (en) | 2007-04-11 | 2008-10-16 | Searete Llc, A Limited Liability Corporation Of The State Of Delaware | Geometric compton scattered x-ray visualizing, imaging, or information providing |
US20090054760A1 (en) | 2007-08-24 | 2009-02-26 | Burke Harry B | Catheter for Enhanced Image Location Detection |
US8224484B2 (en) | 2007-09-30 | 2012-07-17 | Intuitive Surgical Operations, Inc. | Methods of user interface with alternate tool mode for robotic surgical tools |
DE102008027486B4 (de) | 2008-06-10 | 2013-11-07 | Human Med Ag | Verfahren und Vorrichtung zum Trennen von Gewebezellen aus einer Flüssigkeit |
WO2009152613A1 (en) | 2008-06-18 | 2009-12-23 | Engineering Services Inc. | Mri compatible robot with calibration phantom and phantom |
US20100076269A1 (en) | 2008-09-18 | 2010-03-25 | Acclarent, Inc. | Systems and Methods for Treating Sinuses |
JP2012508069A (ja) * | 2008-11-06 | 2012-04-05 | エヌエックスセラ インコーポレイテッド | 前立腺肥大症の治療のためのシステムおよび方法 |
EP2352452A4 (en) | 2008-11-06 | 2012-07-18 | Nxthera Inc | SYSTEMS AND METHOD FOR TREATING PROSTATE TISSUE |
US20100179522A1 (en) | 2009-01-14 | 2010-07-15 | Medsci Technologies, Inc. | System for endosurgical removal of tumors by laser ablation with treatment verification - particularly tumors of the prostate |
US8388611B2 (en) * | 2009-01-14 | 2013-03-05 | Nxthera, Inc. | Systems and methods for treatment of prostatic tissue |
WO2016037137A1 (en) | 2014-09-05 | 2016-03-10 | Procept Biorobotics Corporation | Physician controlled tissue resection integrated with treatment mapping of target organ images |
US9848904B2 (en) | 2009-03-06 | 2017-12-26 | Procept Biorobotics Corporation | Tissue resection and treatment with shedding pulses |
DE102009016859B4 (de) | 2009-04-08 | 2018-06-14 | Erbe Elektromedizin Gmbh | Wasserstrahlchirurgieinstrument |
EP2440130A4 (en) | 2009-06-08 | 2015-06-03 | Mri Interventions Inc | MRI GUIDED SURGICAL SYSTEMS WITH PROXIMITY ALERTS |
US8387427B2 (en) * | 2009-07-08 | 2013-03-05 | Hitachi-Ge Nuclear Energy, Ltd. | Water jet peening method and apparatus thereof |
EP3878398B1 (en) * | 2009-11-13 | 2024-03-06 | Sonendo, Inc. | Dental treatment apparatus |
JP5707148B2 (ja) | 2010-01-27 | 2015-04-22 | 株式会社東芝 | 医用画像診断装置及び医用画像処理装置 |
US10588609B2 (en) | 2010-02-04 | 2020-03-17 | Procept Biorobotics Corporation | Gene analysis and generation of stem cell methods and apparatus |
WO2015200538A1 (en) | 2014-06-24 | 2015-12-30 | Procept Biorobotics Corporation | Tissue sampling and cancer treatment methods and apparatus |
US20130096422A1 (en) | 2010-02-15 | 2013-04-18 | The University Of Texas At Austin | Interventional photoacoustic imaging system |
JP5540760B2 (ja) * | 2010-02-22 | 2014-07-02 | セイコーエプソン株式会社 | 液体噴射装置 |
EP2568893B1 (en) | 2010-05-14 | 2015-06-24 | Sabanci Universitesi | An apparatus for using hydrodynamic cavitation in medical treatment |
MX2012014692A (es) * | 2010-06-13 | 2013-06-28 | Motus Gi Medical Technologies Ltd | Sistemas y metodos para limpiar cavidades corporales. |
US11612377B2 (en) | 2010-12-16 | 2023-03-28 | Best Medical International, Inc. | Image guided surgical methodology and system employing patient movement detection and correction |
US20130261540A1 (en) | 2010-12-16 | 2013-10-03 | Justin M. Crank | High-pressure pneumatic injection system and method |
EP2694125A4 (en) | 2011-04-01 | 2015-01-14 | Christopher Burnside Gordon | HARVEST MACHINE WITH A LIQUID CELL AND CELLULAR DISPENSING SYSTEM |
WO2012142291A1 (en) * | 2011-04-12 | 2012-10-18 | Thermedical, Inc. | Devices and methods for shaping therapy in fluid enhanced ablation |
US9931445B2 (en) | 2011-07-08 | 2018-04-03 | Jointechlabs, Inc. | System and methods for preparation of adipose-derived stem cells |
CA2842821A1 (en) | 2011-08-08 | 2013-02-14 | The Henry M. Jackson Foundation For The Advancement Of Military Medicine, Inc. | Isolation and detection of cancer cells |
JP6080872B2 (ja) | 2012-02-29 | 2017-02-15 | プロセプト バイオロボティクス コーポレイション | 自動化された画像誘導組織切除および治療 |
KR101999613B1 (ko) | 2012-03-02 | 2019-07-12 | 고쿠리츠켄큐카이하츠호진 카가쿠기쥬츠신코키코 | 기포 분출 부재와 그 제조 방법, 기액 분출 부재와 그 제조 방법, 국소 어블레이션 장치와 국소 어블레이션 방법, 인젝션 장치와 인젝션 방법, 플라즈마 기포 분출 부재, 및 치유 장치와 치유 방법 |
US10231867B2 (en) | 2013-01-18 | 2019-03-19 | Auris Health, Inc. | Method, apparatus and system for a water jet |
CN105431096B (zh) | 2013-02-14 | 2018-07-31 | 普罗赛普特生物机器人公司 | 液体消融液体束眼外科手术的方法和装置 |
US9867635B2 (en) | 2013-03-08 | 2018-01-16 | Auris Surgical Robotics, Inc. | Method, apparatus and system for a water jet |
CN109303591B (zh) | 2013-04-03 | 2022-06-21 | 普罗赛普特生物机器人公司 | 前列腺水摘除术 |
CN109965976B (zh) * | 2013-09-06 | 2022-05-31 | 普罗赛普特生物机器人公司 | 利用致脱脉冲的用于消融组织的装置 |
EP4070744A1 (en) | 2014-06-30 | 2022-10-12 | PROCEPT BioRobotics Corporation | Fluid jet tissue resection and cold coagulation (aquablation) apparatus |
BR112017004454B1 (pt) | 2014-09-05 | 2022-11-01 | Procept Biorobotics Corporation | Aparelho para remover células intactas de uma área cirúrgica de um paciente |
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US20170231655A1 (en) | 2017-08-17 |
US20190380730A1 (en) | 2019-12-19 |
EP3160367B1 (en) | 2022-07-13 |
WO2016004071A1 (en) | 2016-01-07 |
CN106572864A (zh) | 2017-04-19 |
EP3160367A4 (en) | 2018-01-10 |
CN106572864B (zh) | 2020-06-09 |
BR112016031037B1 (pt) | 2023-02-07 |
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JP2020037017A (ja) | 2020-03-12 |
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